EIG Services, Inc.

Senior Claims Adjuster I - California 100% Remote (WFH) General Summary With minimal oversight, the Senior Claims Adjuster I is responsible for the timely and accurate management of workers' compensation claims in California. This includes handling medical and indemnity benefits, addressing litigation and complex issues, and managing moderate to high exposure cases. Must work West Coast hours (M-F 8am-5pm PST) and have experience adjusting CALIFORNIA work comp claims. Essential Duties and Responsibilities Completes initial contacts to obtain necessary information, verify coverage, determine compensability and develop a plan of action. Completes and maintains claim data integrity. Independently analyzes case facts to establish timely and accurate reserves using knowledge and experience with medical disabilities and related costs, as well as judgment of extent of disability. Collaborates with Corporate Claims to proactively evaluate and mitigate high exposure losses. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively manages or coordinates medical treatment to continue to move the claim forward. Uses internal and external resources to contain costs and manage exposure. Reviews and analyzes litigation and legal issues. Directs legal strategy and participates in preparation of the case for litigation. Collaborates with defense attorney to move claims to resolution. Completes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Uses a high degree of independent judgment to render accurate decisions. Mentors other team members and acts as a Subject Matter Expert for legal, jurisdiction and Company needs. Other duties as assigned. Certification WCCP, AIC, ARM, CPCU or other insurance designation preferred. Education Bachelor's degree or equivalent business experience preferred. Work Environment: Remote: This role is a remote (work from home (WFH) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $60,000- 90,000 and a comprehensive benefits package, please follow the link to our benefits page for details! About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As "America's small business insurance specialist", we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. Requirements 7 or more years of related claims experience including complex claim handling. Internal candidates with proven results may also qualify. Superior communication and customer service skills and proficiency in an imaged environment. Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. Self-motivated with the ability to work independently with minimal direction. The ability to multi-task and prioritize, adhere to deadlines and complete assignments accordingly. Excellent analytical, problem solving and decision-making skills. Equivalent combinations of education and experience may be considered. Compensation details: 0 Yearly Salary PI87716fd8fbf4-3744

Director of Workers Compensation Product Expansion 100% Remote (WFH) Opportunity EMPLOYERS is seeking a strategic and results-driven Director of Workers' Compensation Product Expansion to lead our corporate organic growth initiatives. This high-impact role will drive the development and execution of innovative product strategies, working cross-functionally to expand our workers' compensation offerings while optimizing profitability and operational efficiency. Reporting directly to the SVP, Chief Underwriting and Actuarial Officer , this position offers regular exposure to executive leadership and the opportunity to shape the future of our product portfolio. Key Responsibilities Strategic Leadership : Develop and execute a comprehensive product and services strategy aligned with corporate goals and market needs. Growth Implementation : Lead change management efforts to support new product introductions, appetite expansion, and process enhancements. Cross-Functional Collaboration : Partner with underwriting, sales, actuarial, analytics, marketing, and IT to prioritize and implement strategic initiatives. Performance Optimization : Leverage data and analytics to drive continuous improvement and informed decision-making. Market Intelligence : Monitor competitive trends and industry shifts to identify opportunities and mitigate risks. KPI Management : Define and track key performance indicators to measure success and guide strategic adjustments. Qualifications Minimum 5+ years of experience in workers' compensation insurance; experience in other commercial lines is a plus. Bachelor's degree required. 3+ years of underwriting experience preferred. Proven ability to lead through influence and operate as a collaborative "player-coach." Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment. Exceptional analytical and problem-solving capabilities, with a data-driven mindset. Excellent communication skills, with the ability to present complex insights clearly to diverse audiences. Work Environment Remote : Open to U.S.-based candidates eligible to work without sponsorship. Must have a dedicated, quiet workspace. Work Hours : Flexible to meet business needs. Travel : Occasional travel may be required for meetings or team collaboration. Compensation & Benefits Salary Range : $120,000 - $170,000 Comprehensive Benefits Package : EMPLOYERS Benefit Details About EMPLOYERS EMPLOYERS is a fast-growing, innovative provider of workers' compensation insurance. Headquartered in Nevada, we pride ourselves on delivering exceptional service to our clients and fostering a collaborative, fulfilling work environment for our employees across the U.S. We live by our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment -guiding how we serve our clients and support each other. Join us and be part of a team that's shaping the future of workers' compensation insurance. Qualifications Minimum 5+ years of experience in workers' compensation insurance; experience in other commercial lines is a plus. Bachelor's degree required. 3+ years of underwriting experience preferred. Proven ability to lead through influence and operate as a collaborative "player-coach." Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment. Exceptional analytical and problem-solving capabilities, with a data-driven mindset. Excellent communication skills, with the ability to present complex insights clearly to diverse audiences. PI40c087a8c7c1-4204